用于肺移植的跨大西洋静脉-静脉体外膜肺氧合桥接

Transatlantic veno-venous ECMO bridge for lung transplantation.

作者信息

van Gemert J P, Droogh J M, Finkenzeller I, Botero Bahamon J D, Gan C T, Heise D, van Steenwijk R P, Uribe Molano J D, Zapata Gonzalez R A, Kock S M, Verschuuren E A M, Veldman A

机构信息

Department of Respiratory Diseases, Tuberculosis and Lung Transplantation, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.

Department of Critical Care, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.

出版信息

JHLT Open. 2023 Nov 15;3:100017. doi: 10.1016/j.jhlto.2023.100017. eCollection 2024 Feb.

DOI:10.1016/j.jhlto.2023.100017

PMID:40145112

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11935310/

Abstract

This report details the challenging journey of a 58-year-old male with a progressive fibrotic lung disease who needed a lung transplantation (LTx). Residing on the remote island of St. Eustatius, access to specialized medical care was limited, but he was entitled to receive appropriate medical care in the Netherlands. Collaborative efforts among medical teams across the world resulted in a successful transatlantic transport of the patient on awake veno-venous extracorporeal membrane oxygenation (vv-ECMO) to the Netherlands. A successful LTx was performed without complications. This case shows that vv-ECMO flight transport, when conducted by an experienced team, is a safe procedure for highly selected lung transplant candidates.

摘要

本报告详细介绍了一名58岁患有进行性纤维化肺病且需要进行肺移植（LTx）的男性的艰难历程。他居住在遥远的圣尤斯特歇斯岛，获得专业医疗护理的机会有限，但他有权在荷兰接受适当的医疗护理。世界各地医疗团队的共同努力使得该患者在清醒状态下通过静脉-静脉体外膜肺氧合（vv-ECMO）成功跨大西洋转运至荷兰。随后成功进行了肺移植，且无并发症发生。该病例表明，由经验丰富的团队进行的vv-ECMO航空转运，对于经过严格筛选的肺移植候选人来说是一种安全的程序。